Surgical Management of Deep Seated Angiomas

  • M. Samii
  • R. Ramina
Conference paper

Abstract

The surgical treatment of deep seated angiomas, as well as of extensive cortical A VMs remains a challenge [5, 7–9, 17, 20, 22, 23, 26, 29, 37]. Because of the location and size of these lesions, alternative methods of treatment have been proposed [7, 14, 15, 21, 24, 31, 32, 34–36]. In this paper we report on our experience in the treatment of 15 patients presenting deep seated angiomas who were admitted to our clinic between January 1978 and April 1985. All these angiomas were approached directly using microsurgical techniques and bipolar coagulatjon. In this report we discuss the indications for the operation of these cases and compare the results obtained with the surgical treatment and the alternative methods.

Keywords

Stein Weinstein Aphasia Hemiplegia Bucrylate 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Amacher AL, Allcock JM, Drake C (1972) Cerebral angiomas: The sequelae of surgical treatment. J Neurosurg 37: 571–575PubMedCrossRefGoogle Scholar
  2. 2.
    Bonnal J, Serratrice G, Winninger J (1960) Angiome arterio-veineux (A.A.V.). Des territoires choroideus anterieur et posterieur juxta thalamique avec hematoma dans le pulvinar. Ablation partielle etude des sequeles. Neurochirurgie 6: 173–185Google Scholar
  3. 3.
    Bonnal J, Petrou U, Gillet J (1978) Aneurysmes arterioveineux interessant la toile choroidienne du IIIe ventricule. Neurochirurgie 24: 15–21PubMedGoogle Scholar
  4. 4.
    Bushe KA, Bockhorn J, Schafer ER (1975) Macro- and microsurgery of central angiomas. In: Pia HW, Glaeve J, Grote E, Zierski J (eds) Cerebral angiomas, advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 123–128CrossRefGoogle Scholar
  5. 5.
    Da Pian R, Pasqualin A, Scienza R (1982) Microsurgical treatment of juxta-peduncular angiomas. Surg Neurol 17: 16–29PubMedCrossRefGoogle Scholar
  6. 6.
    Day AL, Friedman WA, Sypert GW et al. (1982) Successful treatment of the normal perfusion pressure breakthrough-syndrome. Neurosurgery 5: 625–630CrossRefGoogle Scholar
  7. 7.
    Debrun G, Vinuela F, Fox A, Drake CG (1982) Embolization of cerebral arteriovenous malformations with bucrylate. J Neurosurg 56: 615–627PubMedCrossRefGoogle Scholar
  8. 8.
    Drake CG (1979) Cerebral arteriovenous malformations: Considerations and experience with surgical treatment in 166 cases. Clin Neurosurg 26: 145–208PubMedGoogle Scholar
  9. 9.
    French LA, Chou SN, Story JL (1964) Cerebrovascular malformations in “Clinical Neurosurgery”. In: Shillito J (ed) Williams & Wilkens Co., Baltimore, pp 171–182Google Scholar
  10. 10.
    French LA (1977) Surgical treatment of arteriovenous malformations: A history. Clin Neurosurg 4: 22–33Google Scholar
  11. 11.
    Graf CJ, Perret GE, Tomer JC (1983) Bleeding from cerebral arteriovenous malformations as part of their natural history. J Neurosurg 58: 331–337PubMedCrossRefGoogle Scholar
  12. 12.
    Hodge CJ jr, King BB ( 1975) Arteriovenous malformation of choroid plexus- case report. J Neurosurg 42: 457–461PubMedCrossRefGoogle Scholar
  13. 13.
    Jellinger K (1980) Pathology and etiology of ICM. In: Pia HW, Langmaid C, Zierski J (eds) Spontaneous intracerebral haematomas. Diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 13–29Google Scholar
  14. 14.
    Johnson RT (1975) Radiotherapy of cerebral angiomas with a note on some problems in diagnosis. In: Pia HW, Glaeve JRW, Grote E, Zierski J (eds) Cerebral angiomas: Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 256–266CrossRefGoogle Scholar
  15. 15.
    Kandel EL, Peresedov UU (1977) Stereotactic clipping of arterial aneurysm and arteriovenous malformations. J Neurosurg 46: 12–24PubMedCrossRefGoogle Scholar
  16. 16.
    Kjellberg RN, Poletti CE, Robertson GH, Adams DA (1978) Bragg peak proton beam treatment of arteriovenous malformations of the brain. In: Carrea R (ed) Neurological surgery. Proceedings of the 6th international congress of neurological surgery, Sao Paulo, June 19–25, 1977. Excerpta Medica, Amsterdam, pp 181–187Google Scholar
  17. 17.
    Kunc Z (1972) Surgery of arteriovenous malformations in the speech and motor-sensory regions. J Neurosurg 103: 107–111Google Scholar
  18. 18.
    Laine E, Jomin M, Clarisse J, Combelles O (1981) Les malformations arterio-veineuses cerebrales profundes. Neurochirurgie 27: 147–160PubMedGoogle Scholar
  19. 19.
    Lapras C (1975) Angiomas of cerebellum and brain stem in cerebral angiomas: Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 136–141Google Scholar
  20. 20.
    Logue U, Mockton G (1954) Posterior fossa angiomas. A clinical presentation of nine cases. Brain 77: 252–273PubMedCrossRefGoogle Scholar
  21. 21.
    Luessenhop AJ (1975) Artificial embolization of inoperable arteriovenous malformations. In: Pia HW, Glaeve JRW, Grote G, Zierski J (eds) Cerebral angiomas. Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 198–205CrossRefGoogle Scholar
  22. 22.
    Natsumura M, Hakita Y, Someda K, Kondo A (1977) Arteriovenous malformations in the posterior fossa. J Neurosurg 47: 50–56CrossRefGoogle Scholar
  23. 23.
    McCormick WF, Hardman JM, Boulter TH (1968) Vascular malformations (“angiomas”) with special reference to those occurring in the posterior fossa. J Neurosurg 28: 241–251PubMedCrossRefGoogle Scholar
  24. 24.
    Mullan S, Kawanaga H, Patronas NJ (1979) Microvascular embolisation of cerebral arteriovenous malformations. J Neurosurg 51: 621–627PubMedCrossRefGoogle Scholar
  25. 25.
    Nibbelink DW (1975) Cooperative aneurysm study in cerebral vascular disease. Ninth conference. In: Whisnant JP, Sandok BA ( eds) Grune & Stratton, New York, pp 155–165Google Scholar
  26. 26.
    Patul AA (1980) Surgical excision of arteriovenous malformations of the cerebellum and brain stem. A case presentation. Acta Neurochir (Wien) 54: 117–125CrossRefGoogle Scholar
  27. 27.
    Perret C, Nishicka H (1966) Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Arteriovenous malformations in analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg 25: 467–490PubMedCrossRefGoogle Scholar
  28. 28.
    Pia HW (1980) Location, indications and prognosis. In: Pia HW, Langmaid C, Zierski J (eds) Spontaneous intracerebral haematomas. Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 329–330Google Scholar
  29. 29.
    Pool JL (1962) Treatment of arteriovenous malformations of the cerebral hemispheres. J Neurosurg 19: 136–141PubMedCrossRefGoogle Scholar
  30. 30.
    Ramina R, Samii M (1983) Operative Behandlung von tiefliegenden Angiomen mit Eindringen in das Ventrikelsystem. Paper presented at the “Arbeitstagung Mikroneurochirurgie” Hamburg, 8–10 Dec., 1983Google Scholar
  31. 31.
    Riechert T, Mundinger F (1964) Combined stereotaxic operation for treatment of deep seated angiomas and aneurysms. J Neurosurg 21: 358–363PubMedCrossRefGoogle Scholar
  32. 32.
    Serbinenko FA (1979) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41: 125–145Google Scholar
  33. 33.
    Spetzler RF, Wilson CB, Weinstein P et al. (1978) Normal perfusion pressure breakthrough theory. Clin Neurosurg 25: 651–672PubMedGoogle Scholar
  34. 34.
    Stein BM, Wolpert SM (1977) Surgical and embolic treatment of cerebral arteriovenous malformations. Surg Neurol 7: 359–369PubMedGoogle Scholar
  35. 35.
    Steiner L, Leksell L, Forster DMC etal (1974) Stereotactic radiosurgery in intracranial arteriovenous malformations. Acta Neurochir [Suppl] (Wien) 21: 196–209Google Scholar
  36. 36.
    Walder HAD (1978) Freezing arteriovenous anomalies in the brain. In: Pia HW, Glaeve JRW, Grote E, Zierski J (eds) Cerebral angiomas. Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York, pp 183–193Google Scholar
  37. 37.
    Wilson CB, Domingue J (1979) Microsurgical treatment of intracranial vascular malformations. J Neurosurg 51: 446–454PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • M. Samii
    • 1
  • R. Ramina
    • 1
  1. 1.HannoverGermany

Personalised recommendations